Medical Billing Specialist
1 month ago
**Job Overview**:
**Responsibilities & Duties**:
- Perform charge entry using the current EMR billing system coding tools.
- Review and verify accuracy of billing data and revise any errors
- Prepare and submit claims to insurance companies. This involves working on both clinic and procedure visits.
- Collect time of service payments, reconcile and deposit time of service monies.
- Work end of day administrative billing tasks.
- Correct claims held by global rules and worked denied claims.
- Follow up on unpaid claims within standard billing cycle timeframe
- Follow processes/protocols to keep accounts receivable current
- Ensure that NPI and payer specific numbers are maintained in the EMR system.
- Ensure individual providers are set up in the EMR system for individual billing and review provider enrollment status as needed.
- Ensure that fee schedules are updated as needed.
- View billing summary and patient activity on a daily basis.
- Manage collections and create suitable payment plans.
- Post adjustments in the EMR system and transfer balances if appropriate using correct 'kick' codes.
- Utilize the 'statement' administration tools to create and run self-pay account worklists.
- Run payment mismatch reports in the, EMR system and perform zero-pay review.
- Use advanced billing worklists to search for payments by check number, track billing batches, generate a worklist and adjust claims.
- Post unapplied credits to outstanding balances.
- Track actions on overpaid claims, post and process insurance refunds.
- Create report on the EMR system that summarize non-billable procedures and procedures requiring coding review.
- Ensure that authorizations for any and all treatments/visits have been received.
- Keep Office Manager updated on any billing issues that require her/his knowledge and assistance.
- Respond to any and all correspondence pertaining to outstanding insurance issues.
- Ensure that all charges are appropriate so that the allowed amount corresponds to the charged amount.
- Perform other duties as assigned.
- Maintain confidentiality of all patient information
**Requirements**:
- Proficiency in ICD-10, ICD-9, DRG, and medical coding systems
- Knowledge of medical terminology and medical office procedures
- Experience in medical billing and collections
- Ability to work with various electronic medical record (EMR) systems
- Strong attention to detail and accuracy in data entry
- Excellent communication skills for interacting with patients, insurance companies, and healthcare providers
**Job Type**: Part-time
Pay: $17.00 - $20.00 per hour
Expected hours: 25 - 30 per week
**Benefits**:
- 401(k)
- 401(k) matching
- Dental insurance
- Flexible schedule
- Health insurance
- Paid time off
- Vision insurance
Schedule:
- 8 hour shift
- Choose your own hours
Work setting:
- Clinic
People with a criminal record are encouraged to apply
**Education**:
- High school or equivalent (preferred)
**Experience**:
- ICD-10: 2 years (preferred)
Ability to Commute:
- Avondale, AZ 85392 (required)
Work Location: In person
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